5678 MailChimp Subscribe Form

1

Parent Name* This field is required.

First Name

Last Name

2

Parent Email Address* This field is required.

example@example.com

Confirm Email

3

This fall, I will have a child in:* This field is required.Please check the grade of a child in your household based on the upcoming school year - 2019-2020. Once you do so, you'll have the opportunity to fill this out for other children as well.

5th grade (2019-2020)

6th grade (2019-2020)

7th grade (2019-2020)

8th grade (2019-2020)

4

Child's Name* This field is required.

First Name

Last Name

5

Do you have another child in this grade range?* This field is required.(5th-8th grade, 2019-2020)

YESNO

6

This fall, I will have a child in:Please check the grade of a child in your household based on the upcoming school year - 2019-2020. Once you do so, you'll have the opportunity to fill this out for other children as well.

5th grade (2019-2020)

6th grade (2019-2020)

7th grade (2019-2020)

8th grade (2019-2020)

7

Child's Name

First Name

Last Name

8

Do you have another child in this grade range?(5th-8th grade, 2019-2020)

YESNO

9

This fall, I will have a child in:Please check the grade of a child in your household based on the upcoming school year - 2019-2020. Once you do so, you'll have the opportunity to fill this out for other children as well.

5th grade (2019-2020)

6th grade (2019-2020)

7th grade (2019-2020)

8th grade (2019-2020)

10

Child's Name

First Name

Last Name

11

Do you have another child in this grade range?(5th-8th grade, 2019-2020)

YESNO

12

This fall, I will have a child in:Please check the grade of a child in your household based on the upcoming school year - 2019-2020. Once you do so, you'll have the opportunity to fill this out for other children as well.

5th grade (2019-2020)

6th grade (2019-2020)

7th grade (2019-2020)

8th grade (2019-2020)

13

Child's Name

First Name

Last Name

14

Do you have another child in this grade range?(5th-8th grade, 2019-2020)

YESNO

15

This fall, I will have a child in:Please check the grade of a child in your household based on the upcoming school year - 2019-2020. Once you do so, you'll have the opportunity to fill this out for other children as well.

5th grade (2019-2020)

6th grade (2019-2020)

7th grade (2019-2020)

8th grade (2019-2020)

16

Child's Name

First Name

Last Name

17

Do you have another child in this grade range?(5th-8th grade, 2019-2020)

YESNO

18

This fall, I will have a child in:Please check the grade of a child in your household based on the upcoming school year - 2019-2020. Once you do so, you'll have the opportunity to fill this out for other children as well.

5th grade (2019-2020)

6th grade (2019-2020)

7th grade (2019-2020)

8th grade (2019-2020)

19

Child's Name

First Name

Last Name

20

Preferred Email Format* This field is required.

HTML

Plain-text